Individual provider Active NPI

Ismael Ortiz-Cartagena, MD

  • Interventional Cardiology Physician
  • Bayamon, PR
National Provider Identifier
1083059547
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
19286 Issued in PR
Practice address
66 Calle Santacruz Suite 202
Instituto San Pablo
Bayamon, PR 00961
Phone
(787) 798-6585
Fax
(787) 798-6590
NPI assigned
May 9, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19286 PR
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 19286 PR
Interventional Cardiology Physician 207RI0011X 19286 PR Primary

Addresses

Primary practice location

66 Calle Santacruz Suite 202
Instituto San Pablo
Bayamon, PR 00961

Mailing address

15015 Calle Vereda Verde
Canovanas, PR 00729-9622
Phone (787) 379-5037

Other identifiers 1

IdentifierTypeStateIssuer
MR465MedicaidPR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200707001610 PR Practitioner - Interventional Cardiology 6406279611 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Michigan State University College of Human Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 Calle Santacruz
202 Instituto San Pablo
Bayamon, PR 00961
Phone (787) 798-6585

Hospital & facility affiliations

  • Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019
  • Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PC2M LLC Single Specialty PastSince Jul 13, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1083059547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15015 CALLE VEREDA VERDE",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007299622",
            "telephone_number": "787-379-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 CALLE SANTACRUZ SUITE 202",
            "address_2": "INSTITUTO SAN PABLO",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00961",
            "telephone_number": "787-798-6585",
            "fax_number": "787-798-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-CARTAGENA",
        "first_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-09",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19286",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "19286",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PR",
            "license": "19286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MR465",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.